中国临床心理学杂志

糖尿病教育和心理治疗在2型糖尿病综合控制中的作用

单位：1. 济宁医学院山东济宁 272013
2. 济宁医学院附属医院山东济宁 272029

分类号：R587.1

出版年,卷(期):页码：2005,13(4):483-485

摘要：

目的:探讨糖尿病教育和心理治疗对2型糖尿病患者综合控制指标的影响。方法:对2型糖尿病患者按登记顺序随机分为观察组(A组)、对照组(B组), 先对其血糖、血脂、体重等代谢指标进行检测, 并进行糖尿病知识问卷、糖尿病生命质量问卷调查和症状自评量表评分, 两组均给以降糖药物治疗, A组着重给予糖尿病教育和心理治疗, 6个月后两组重复上述量表测评及代谢指标检测。结果:两组治疗后比较, 生命质量问卷总分、生命质量满意度、影响程度、忧郁程度Ⅰ、忧郁程度Ⅱ得分均有显著性差异(P＜0.01);A组治疗后躯体化症状、忧郁、焦虑评分均较治疗前降低显著(P＜0.05), 而B组治疗前后无显著性差异(P＜0.05);FPG、2hPG、HbA1c、TCH、TG、LDL-C、BMI等, A组较B组均有显著性改善(P＜0.01)。结论:糖尿病教育和心理治疗对2型糖尿病患者的综合控制有重要意义。

Objective:To investigate the effects of diabetes education and psychological intervention on the comprehensive treatment of type 2 diabetes patients.Methods:Patients with type 2 diabetes were divided randomly into two groups, observation group (Group A) and control group (Group B). Tests of their metabolic indices (blood sugar concentration, blood lipoids and body weight, etc) have been taken. They were also assessed with diabetes knowledge questionnaires, Adjusted Diabetic Quality of Life questionnaires (A-DQOL) and Symptom Checklist 90 (SCL-90). Conventional drug treatments have been given to both groups. In addition, patients in Group A were treated with diabetes education and psychological intervention. After 6 months treatments, above mentioned metabolic index tests, diabetes knowledge questionnaires, A-DQOL and SCL-90 assessments were taken again for statistic analyses and comparisons.Results:Significant differences (P＜0.01) have been observed between the two groups in total scores of diabetes quality of life questionnaires, level of satisfaction in quality of life, influence degree, scores of Suppression I and Suppression II. After the treatment, the levels of physical symptoms, suppression and anxiety have been significantly reduced (P＜0.05) in Group A. While there are no significant differences (P＜ 0.05) in above mentioned indices in Group B before and after the treatments. More improvements in Group A have been achieved (P＜0.01) in indices of FPG, 2hPG, HbA1c, TCH, TG, LDL-C and BMI, etc.Conclusion:Diabetes education and psychological intervention have significant effectiveness on comprehensive treatments of type 2 diabetes patients.

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参考文献：

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